This study assessed the relationship between the quality of HIV care and treatment literacy on antiretroviral therapy (ART) adherence and viral suppression among female sex workers (FSWs) living with HIV (n = 211) in Santo Domingo, Dominican Republic. Multivariable logistic regression results indicate better patient-provider communication (AOR 1.04; 95% CI 1.01–1.07) and respectful treatment (AOR 2.17; 95% CI 1.09–4.32) increase the odds of viral suppression, while higher costs reduce both the odds of ART adherence (AOR 0.57, 95% CI 0.34- 0.95) and being virally suppressed (AOR 0.59, 95% CI 0.41–0.85). Greater treatment literacy was associated with an increased odds of ART adherence (AOR 4.15 for understanding of viral load; 95% CI 1.50–11.52) and viral suppression (AOR 2.75 for understanding of CD4 count; 95% CI 1.31–5.80). Findings support investments in treatment education, effective and respectful patient-provider communication, dignified care, and cost-support for associated HIV care costs to facilitate FSWs’ pathway towards viral suppression.
|Journal||AIDS and Behavior|
|State||Accepted/In press - 2022|
Bibliographical noteFunding Information:
This study was supported by the National Institute of Mental Health through R01MH110158 (Principal Investigator: Deanna Kerrigan).
© 2022, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
- HIV care continuum
- Quality of care
- Sex work
- Treatment literacy
ASJC Scopus subject areas
- Social Psychology
- Public Health, Environmental and Occupational Health
- Infectious Diseases